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1164884888
DIANE KIMBALL
SANFORD, FL
NPI
1164884888
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH 13400)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
-- DIANE KIMBALL
5467 RONALD REAGAN BLVD
SANFORD, FL 32773-6332
Phone number: 407-324-3036
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Mailing Address
-- DIANE KIMBALL
5467 RONALD REAGAN BLVD
SANFORD, FL 32773-6332
Phone number: 407-324-3036
Copy
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